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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />0aIlI Received <br /> <br /> <br />J/eJihJs <br /> <br />~ <br /> <br />I <br />I <br />I <br />I LOU I 3 I <br />PARCELID#I Ja. -1l~ - 21- 00'/0 -OOhD:~h~)bo <br />(OBTAINED FROM PROPERlY TAX NOlICE) <br />SIGN D MOVE D <br /> <br />w~ ~ h-f:lwner Phone Number <br /> <br /> <br />I Owner Phone Number I <br /> <br /> <br />I Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Addrese 13Q.:J. 1/p <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple TIUeholder Add",,, I <br /> <br />39dl/ ~ <br /> <br />PROPOSED USE <br />lYPE OF CONSTRUCTION <br /> <br />B <br />D <br />D <br />1202/ <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />)/E::rGI-/'T S ,4VG <br />I <br /> <br />B <br />D <br />D <br />of 1/' <br /> <br />JOB ADDRESS <br /> <br />SUBDMStON <br /> <br />BUILDING SIZE <br /> <br />sa FOOTAGE I <br /> <br />D <br /> <br />D OTHER <br />D STEEL ca- OTHER I r::EAJC.c: -tI\JsJd~' I <br />{'hal Iv b,Jt Favc~ -:::r:::AfsM/ H.nrJ I <br /> <br />I HEIGHT I I <br /> <br />AOD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br /> <br />1$ I <br />D ELECTRICAL 1$ I <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ ~ g 91 . Sv I VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS D ROOFING D SPECIALTY D ~ F6N~~ <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />l..Y..!lU <br /> <br />Addreea <br /> <br />License , <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />l..Y..!lU <br /> <br />Addrese <br /> <br />License , <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />l..Y..!lU <br /> <br />Addreea <br /> <br />License , <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Addrese <br /> <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />l..Y..!lU <br /> <br />OTHER <br />SIGNATURE <br /> <br />Add...., <br /> <br />RESIDENTIAL <br /> <br />AItach (2) Plot PIlIns; (2) sets of BuHding Plena; (1) set of Energy Forms <br />Minlmum ten (10) worldng days after aubnittal date. Required onslte. Constructlon PIlIns. Sanitary Facllltles & 1 dumpster <br />AItach (3) sets of Building Plans; (1) set of Energy Fonns. <br />Minlmum ten (10) wortdng days after lIUbmlttaI date. Required onslte. ConstructIon PIlIns. Senitely Facilities & 1 dumpster <br />All comrnerdallllqUlntments must ITlMt compNance. <br />AItach (2) sets of EngI~ Plans. <br />--PROPERlY SURVEY required for aM NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Dlrec:tIona: <br />FUI out applicetlon completely. <br />Owner & Contractor sign back of appItcation. notaItzed <br />If over $2100, a Notice of Commen~ment Ie required. (AIC upgrades over $1000) <br /> <br />- Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMrmNG (Front of ApplIcellon Only) <br />Reroofa s-rs Sanrice Upgrades AIC Fences (PIotISurveylFoolege) <br /> <br />DrIveways-Not over Counter if on public roadways..needs ROW <br />